Substance Misuse Nurse

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Healthcare
Posted on: January 6, 2026
West London, United Kingdom
Permanent
£43000 - £48000 Per Year
Job reference:
34366
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We are looking for a passionate and skilled Substance Misuse Nurse to join a leading addictions charity to be based in a hospital in West London working Monday to Friday 9-5. The salary for this role is up to £43,500 plus £4,133.14 Inner London Weighting and other amazing benefits!

This is an exciting opportunity to play a key role in improving outcomes for individuals affected by drug and alcohol use. Working as part of a multidisciplinary team, you will deliver specialist clinical interventions within an acute hospital setting, acting as a vital link between hospital services and community-based treatment teams.

About the Substance Misuse Nurse role:
You will be a key liaison between the acute hospital (including A&E) and community substance misuse services, supporting patients whose hospital presentation or admission is related to alcohol or drug use. The role involves advanced clinical assessment, care planning, harm reduction, and discharge coordination.

Key responsibilities include:
  • Delivering clinical interventions to reduce alcohol- and drug-related hospital presentations and admissions
  • Conducting advanced assessments for patients using substances, including withdrawal management
  • Using recognised assessment tools such as COWS and CIWA-AR to support safe and effective care
  • Providing specialist advice to hospital staff on the clinical management of substance misuse
  • Working closely with A&E, inpatient wards, psychiatry liaison, dual diagnosis services, and other specialist teams
  • Contributing to MDT discussions and patient management plans
  • Supporting patients during hospital admission and facilitating safe discharge to community services

About You:
We are looking for a nurse who is compassionate, non-judgemental, and confident working with complex needs.
Essential criteria:
  • First-level Registered Nurse with a current NMC PIN
  • Relevant post-registration clinical experience
  • Experience working with substance misuse patients in settings such as A&E, prison healthcare, acute hospitals, or community services
  • Practical experience using COWS and CIWA-AR assessment tools
  • Strong understanding of harm reduction and health promotion
  • Ability to complete comprehensive assessments, care plans, and clinical documentation
  • Excellent communication and multidisciplinary working skills

On offer for this Substance Misuse Nurse role:
  • Attractive salary and £4,133 London Weighting
  • 25 days annual leave + bank holidays, increasing with service (up to 30 days)
  • Paid weekly wellness hour and access to a wellbeing hub and Employee Assistance Programme
  • Contributory pension scheme
  • Annual NMC fee reimbursement
  • Protected CPD time, including monthly CPD
  • Access to high-quality training and professional development programmes
  • A supportive, friendly multidisciplinary team
  • Competitive nursing pay aligned with Agenda for Change–equivalent bands

If you are a Registered Nurse (RGN / RMN) and you have experience or interest in roles such as Addiction Nurse, Detox Nurse, Rehabilitation Nurse, Mental Health Nurse, or Community Nurse, this Substance Misuse Nurse position could be a great fit for you.

Please click APPLY or call LEWIS on 07700 170349!


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